ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2016
Gay Acres: Sexual Orientation Differences in Health Indicators Among Rural and Nonrural Individuals.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Health-related regional and neighborhood correlates of sexual minority concentration: A systematic review.PloS one · 2018Pooled it
- A Systematic Review of Cardiovascular Disease in Sexual Minorities.American journal of public health · 2017Pooled it
- Comprehensive systematic review and meta-analysis on physical health conditions in lesbian- and bisexual-identified women compared with heterosexual-identified women.Women's health (London, England)Pooled it
- Sexual identity, sexual behavior, and drug use behaviors among people who use drugs in the rural U.S.Journal of substance use and addiction treatment · 2025Article
- Sexual Orientation- and Gender Identity-Affirming Activities Provided in Primary Care.JAMA network open · 2025Article
- School-Based Health Centers Addressing Health Equity for LGBTQ + Patients (SBHCs HELP): protocol for a stepped-wedge trial to implement innovations promoting structural competency.BMC health services research · 2024Article
- Rural and urban differences in disparities in substance use and substance use disorders affecting sexual minority populations.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
- Double Disparity of Sexual Minority Status and Rurality in Cardiometabolic Hospitalization Risk: A Secondary Analysis Using Linked Population-Based Data.Healthcare (Basel, Switzerland) · 2023Article
- Associations Between Primary Residence and Mental Health in Global Marginalized Populations.Community mental health journal · 2023Article
- Sexual minorities are not a homogeneous population: health disparity differences based on residence in rural versus urban settings.Rural and remote health · 2023Article
- Mapping LGBTQ+ Youth Resource Density Across Four High HIV Prevalence Corridors in the US.Sexuality research & social policy : journal of NSRC : SR & SP · 2023Article
- Improving Sexual Health in U.S. Rural Communities: Reducing the Impact of Stigma.AIDS and behavior · 2022Article
- Bisexual people's utilization of sexual health services at an LGBTQ Community Center in Chicago.Journal of bisexuality · 2020Article
- Differential Influence of Weight Status on Chronic Diseases by Reported Sexual Orientation Identity in Men.LGBT health · 2019Article
- Mining for Posttraumatic Growth (PTG) in Sexual Minority Women Who Survive Intimate Partner Violence: A Conceptual Perspective.Behavioral sciences (Basel, Switzerland) · 2018Article
- Mediating Effects of Social Support and Internalized Homonegativity on the Association Between Population Density and Mental Health Among Gay and Bisexual Men.LGBT health · 2017Article
- Alcohol Outcomes by Sexual Orientation and Race/Ethnicity: Few Findings of Higher Risk.Journal of studies on alcohol and drugs · 2017Article
- Recommendations for cardiovascular disease research with lesbian, gay and bisexual adults.Journal of clinical nursing · 2016Article
- Cardiovascular Disease Risk in Sexual Minority Women (18-59 Years Old): Findings from the National Health and Nutrition Examination Survey (2001-2012).Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeGeographic location is a significant factor that influences health status and health disparities. Yet, little is known about the relationship between geographic location and health and health disparities among lesbian, gay, and bisexual (LGB) persons. This study used a US population-based sample to evaluate the associations of sexual orientation with health indicators by rural/nonrural residence.
methodsData were pooled from the 10 states that collected sexual orientation in the 2010 Behavioral Risk Factor Surveillance System surveys. Rural status was defined using metropolitan statistical area, and group differences by sexual orientation were stratified by gender and rural/nonrural status. Chi-square tests for categorical variables were used to assess bivariate relationships. Multivariable logistic regression models stratified by gender and rural/nonrural status were used to assess the association of sexual orientation to health indicators, while adjusting for age, race/ethnicity, education, and partnership status. All analyses were weighted to adjust for the complex sampling design.
findingsSignificant differences between LGB and heterosexual participants emerged for several health indicators, with bisexuals having a greater number of differences than gay men/lesbians. There were fewer differences in health indicators for rural LGB participants compared to heterosexuals than nonrural participants.
conclusionsRural residence appears to influence the pattern of LGB health disparities. Future work is needed to confirm and identify the exact etiology or rural/nonrural differences in LGB health.
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